Sean W Sullivan (NPI# 1194762286, PAC ID# 5597718486) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1194762286 |
| PAC ID by PECOS | 5597718486 |
| Professional Enrollment ID | I20050303000169 |
| Full Name | Sean W Sullivan |
| Organization Legal Name | LAKELAND COMMUNITY HOSPITAL WATERVLIET |
| Address |
400 Medical Park Dr Watervliet MI 49098-9225 |
| Phone Number | 2694633600 |
| Gender | M |
| Credential | MD |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 7416942750 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230078 | COMMUNITY HOSPITAL- WATERVLIET |
| 230021 | LAKELAND HOSPITAL, ST JOSEPH |
| 230017 | BRONSON METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2694633600 | LAKELAND COMMUNITY HOSPITAL WATERVLIET |
| Organization Legal Name | LAKELAND COMMUNITY HOSPITAL WATERVLIET |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika Suzanne Nearpass | Internal Medicine | Lakeland Community Hospital Watervliet | 525 S Ctr St, Hartford, MI 49057-1362 |
| Michele Marie Brock | Nurse Practitioner | Lakeland Community Hospital Watervliet | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Jennifer A Layman Young | Nurse Practitioner | Lakeland Community Hospital Watervliet | 2002 S 11th St, Niles, MI 49120-4074 |
| Jonathan Nykamp | Nurse Practitioner | Lakeland Community Hospital Watervliet | 7040 Red Arrow Hwy, Coloma, MI 49038-8720 |
| Michael P Maskill | Podiatry | Lakeland Community Hospital Watervliet | 6701 Paw Paw Ave, Coloma, MI 49038-9519 |
| Jeffery T Postma | Orthopedic Surgery | Lakeland Community Hospital Watervliet | 6559 Paw Paw Ave, Coloma, MI 49038-8805 |
| Carly K Reising | Physician Assistant | Lakeland Community Hospital Watervliet | 7040 Red Arrow Hwy, Coloma, MI 49038-8720 |
| Amanda Leigh Mills | Nurse Practitioner | Lakeland Community Hospital Watervliet | 2002 S 11th St, Niles, MI 49120-4074 |
| Matthew John Garno | Physician Assistant | Lakeland Community Hospital Watervliet | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Daniel M Metzger | Family Medicine | Lakeland Community Hospital Watervliet | 2002 S 11th St, Niles, MI 49120-4074 |
| Street Address |
400 MEDICAL PARK DR |
| City | WATERVLIET |
| State | MI |
| Zip | 49098-9225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele Marie Brock | Nurse Practitioner | Lakeland Community Hospital Watervliet | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Robert Levitt | General Surgery | Union Physician Services LLC | 400 Medical Park Dr, Suite 203, Dover, OH 44622-3207 |
| Crystal F Darling | Diagnostic Radiology | Advanced Radiology Services PC | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Corita M Wheeler | Emergency Medicine | Epmg Southwest Michigan Pllc | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Matthew John Garno | Physician Assistant | Lakeland Community Hospital Watervliet | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Sheila M Philpott | Emergency Medicine | Epmg Southwest Michigan Pllc | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Larisa R Grinvalds | Emergency Medicine | Epmg Southwest Michigan Pllc | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Gregory J Bonavita | Cardiac Electrophysiology | Ohio Physician Professional Corporation | 400 Medical Park Dr, Suite 101, Dover, OH 44622-3207 |
| Gerald A Friedman | Emergency Medicine | Epmg Southwest Michigan Pllc | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Maddi A Massa | Emergency Medicine | Epmg Southwest Michigan Pllc | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander A Spiewak | Emergency Medicine | Epmg Southwest Michigan Pllc | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Angelique Y Madison | Nurse Practitioner | Lakeland Community Hospital Watervliet | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Steven Clingerman | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Brandon M Roe | Emergency Medicine | Epmg Southwest Michigan Pllc | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Gregory Scott Wagner | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Julie Y. Yang | Physician Assistant | Lakeland Community Hospital Watervliet | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Keith Lovell | Physician Assistant | Lakeland Community Hospital Watervliet | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Philip B Durden | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Celia Stenfors-dacre | Physical Medicine and Rehabilitation | Lakeland Community Hospital Watervliet | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Louis R Standiford | Emergency Medicine | Epmg Southwest Michigan Pllc | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Find all physicians in zip 49098 | |||
| City | WATERVLIET |
| Zip Code | 49098 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WATERVLIET + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Sean W Sullivan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.